ASSISTANT (INSURANCE) (HQ/13/IPS/FT315)

The mission of WHO is the attainment by all peoples of the highest possible level of health.

Vacancy Notice No: HQ/13/IPS/FT315

Title: Assistant (Insurance)

Grade: G5

Contract type: Fixed-term Appointment

Duration of contract: 1 year

Date:
25 July 2013

Application Deadline:
15 August 2013Vacancy Filled

Duty Station:
Geneva, Switzerland

Organization unit:

OBJECTIVES OF THE PROGRAMME :
The Department of Finance ensures that the financial management framework provides the required financial controls, reporting systems and procedures to meet the Organizations needs. It is therefore responsible for WHOs accounting policy and systems, corporate accounting, financial reporting, income and expenditure, donor accounting and reporting and treasury management policies. The Department of Finance has also the responsibility for insurance and pension services including administration of operations and risk management relating to staff and other financial risks.

Description of duties:
Under the general supervision of Admin. Officer, SHI and general guidance of a senior Assistant, the incumbent is assigned to the receipt and processing of health insurance claims, including those involving the direct payment to physicians, hospitals and others on behalf of claimants. The incumbent also assists in analysing the accounts of the SHI, preparing reports, graphs etc.A. Medical Claims (75%) 1. Examining medical claims submitted by active and retired staff or their survivors in accordance with the rules of the SHI and interpretation made by the HSC in particular: ensures proof of payment is provided in support of claims for reimbursement; verifies bank accounts and postal addresses; ensures bills submitted within established time limits; verifies accuracy of amounts claimed; for each prescription of drugs ensures medicines prescribed are reimbursable in terms of rules and established guidelines; verifies presence of physicians prescription in respect of special forms of treatment; in case of hospitalization, checks whether daily rates charged are within established limits and adjusts the claim as appropriate; ensures sufficient information provided to permit meaningful analysis of claims. If in doubt as to whether claimqualifies for reimbursement requests a medical report to be sent to Medical Adviser; verifies entitlement to coverage. 2. Prepares input documents for processing of claims by computer. 3. Enters and validates daily claims on computer. 4. Contacts and/or prepares correspondence to medical providers i.e. physicians, dentists, clinics, laboratories etc. concerning medical claims/payment requests. 5. Receives active and retired staff to provide information on claims. 6. Validates claims pre-coded by regions and processes payment. B. Financial Accounting/Analysis (15%) 1. Prepares financial reports and statements. 2. Compiles and assists in analysing statistics using graphs to illustrate trends etc. C. Other (10%) Other duties as required.

REQUIRED QUALIFICATIONS

Education:EssentialCompletion of secondary school education or equivalent.DesirableHigher education an advantage.

Skills:
The incumbent controls an ever increasing workload by revising priorities often on a daily basis and often several times a day. The incumbent uses mature judgement when responding to unusual requests, courtesy when redirecting callers and diplomacy when dealing with sensitive claims and drawing attention to staff on specific insurance rules. Incumbent ensures cases of potential fraud, excessive billing or other anomalies are dealt with under supervision and in absolute confidentiality.

WHO Competencies: Knowing and managing yourselfProducing resultsCommunicating in a credible and effective way

Languages:
Expert knowledge of English and French required. Knowledge of other UN languages an asset.

Additional Information:
The following priority order will be observed in the screening of candidates: 1. WHO staff members (Continuing, Fixed-term and Temporary appointments), 2. External candidates. A written test may be used for screening purposes. Other similar positions at the same grade level may be filled from this vacancy notice. This vacancy is published in English only.This post is subject to local recruitment and will be filled by persons recruited in the local commuting area of each office.